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Home My WebLink AboutMIS99-00576 Cancelled Retaining Wall - MIS Permit / Conditions - 12/6/2001 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1433 C i`= L_. L A N E C3 U —c; P E= R M 1 I FOR INSPECTIONS CALL. 427 - fO MIS99-0576 PARCEL :321275300107 PLAT :L.APLO DIV : BLK : LOT : JOB ADDRESS : 381 E DARTMOOR DR SHEL.TON APPLICANT : TOM SWIDECKI 427-5086 OWNER : TOM SWIDECKI 427-5086 LEGAL : LAKE L!1[1ICK 1 TRACT 11T PROJECT RETAINING WALL Q,SP'(NQN 4 �X �Q PROJECT LOCATION : POUR RETAINING WALL AROUND NEW SF R P Q PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT PLCK $ 56 . 11 KW 09/09/99 51474 STFE $ 4 .50 TW 10/08/99 51817 -- PRMT $ 149 .75 TW 10/08/99 51817 ADJ $ 40 .63 TW 10/08/99 51817 TOTAL : 251 .591. OWNER OR A lff DATE YIS._PRYT, rev, 14111192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEF3M 1 "1- CC7N � 1 T 1 +JN � Case No . : MIS99-0576 Fort TOM SWIDECKI Page : 1 1 ) Structure must be setback 5 ' from all utility and drainage easements, a total of 10 ' frog- each property line, or a variance must be obtained from the Building Department . 2 ) Proposed structure or any poftion thereof greater than 30" 1n height from grade line , must maintain a minimum of 5 ' setback from all property lines and easement lines and 10 ' frop�--fl ll �X,ounty and State Road right of ways . X =; ) Applicant acknowledges the presence of ground water seepage . Foundation shall be sited and ns-- i.nsta I I ?d so 'that this sr epage does not impact ' the residence or ne i ghbor i nq p r e-r�-t i.e s ; 4 ) All upland areas disturbed or newly treated by construction activities shall be !3eeded, :vegetated or given some other equivalent type of protection against erosion. • MASON COUNTY �\ Mason County Bldg. III 426 W. Cedar I P.O. Box 186 Shelton, Washington 98584 5 > Temporary erosion control measures must be implemented to prevent wat.:; 4uality degradatA n-._.c�r adjacent waters or wetlands . X 6 ) Approve�_er dimensions and setbacks on submitted s i,0,74 fa n - i 1111 PERMIT NO MIS MASON COUNTY fj MISCELLANEOUS PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275- 467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION/ CONTRACTOR INF//��R!YATION f Owner o r, w ��,I c < < Contractor Name Mailing Address 30 5 Dg--,4-t"0or Mailing Address 3 2- /if City Stit/f°h State w1 , Zip Code S r5711 City on State �/g. Zip Code Poo Phone .0 -50860ther Ph.( Ph.( -2 5-5 , V/- Other Ph.( 53 ) 9�9 55a7 Lien/Title Holder Contractor Reg. # C Or 0,6L P Address Expiration_/ Z 9 / "Z000 PARCEL INFORMATION-12 digit Tax Parcel No. 3 Z 1 Z 7 153 / 00 /O7 Fire District Legal Description l q/(a 4t y L o+5 104 — 107 Site Address(include street name and city 3 y/ D9 p�. 1�S fog W4. 7�S�Y Directions to site: Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe proposed construction Pay/ Q t }y(n pli tic, Nc SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made w h t st btaining v l X Date X 4C�� Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by4U.r)LL Date l- ��I Submittal Amount Due % b. I I Receipt No. 1411 DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. IL �--f Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) F TOTAL EES <'......i:: . ':iiiii`i`: 3a lad- 53- oo /07 r• A.t)t D OU T+�-t T-ACT IS 1J�,R�r � A10 +ate or-Fi u Axmrl. z.AM _Rzt v\Pb alb QrVsT TV)e- LIAJ CAL tWzW T-am Aue c, ZZB(�)oohI - CS Page No. 1 CASE HISTORY FOR CASE NOA MIS99-0576 ` TOM SWIDECKI E381 DARTMOOR DR SHEL 09/20/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MISA010 Application received 09/03/99 / / 09/09/99 DONE KW 09/09/99 KW MISA915 Existing Records-See Case Mgr. / / / / / / 09/09/99 KW MISB110 Building Plan Review 09/09/99 / / / / Based on the fact that this site is very HOLD DH 09/20/99 TLG wet and has had a lot of fill placed, I am requiring that the plans, specs, calculations be prepared by a licensed engineer per UBC Sect 106.3.2. Also request that a drainage plan be submitted. All submittal documents to date are not sufficient for this proposal. MISB127 Planning Pre-Review 09/10/99 / / 09/14/99 DONE MMS 09/14/99 MMS MISB128 Addressing 09/09/99 / / 09/10/99 DONE GMM 09/10/99 GMM MISB130 Planning Review 09/14/99 / / 09/15/99 GMA approved 9/15/99. DONE SLO 09/15/99 SLO MISB135 RLC Checklist Review / / / / 09/15/99 N/A SLO 09/15/99 SLO ��.�l� � .1 H LfoIJ�Y,2UC�r'ioy k��r r,ric�Sst�G2E ,w,rN4 L) 41va'5 C;r(i�i►rGs, t7i 15 t O �B[iIE Cvl�c / KF �,0//�0 ��.✓�n Ee�c�`s n��wE�2 S/IcS,oGE �l/114R /v FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name /' PARCEL NUMBER 32/2 7 53 00)07 Date Y-21-c6 SHOW THE FOLLOWING ON SITE PLAN Show Direction by Indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Weil Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Kinclude adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line-> , p , E-adjacent property line I / 1 � 1 ^ I I ' t{+riiay�II \ •�� S` � 1 I I I ' � � I P Vw I adjacent property line-> ' t � 0 4,or ' E-adjacent property line SAMPLE SITE PLAN adjacent property line- Fddjacent property line SEAso.�AL 30 ,L ��tPTs� MOM tr �- �1 \ 1 =&0- PlioPostD saptic —">I I. 1 — , —'/30----)i 1 VAG1t.,T I I C AMAVE 30 C0.oPoaCI� ,\ TA"=LLLTLu&JAXAL so --' 1 I I O' I � 1 I 1 ' L—e-LL 1 I , I , I 1 adjacent property line-;� i left'- c \; Fadjacent propertyline TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dts+a"c.= to ru.ctt.a.YG drat�rGt to Slop= t-o¢ �-- r ,0 a- 1 Signature Date